心血管疾病中他汀药物应用依从性影响因素及预防  

Influencing factors and prevention analysis of statins compliance in treatment of cardiovascular disease

作　　者：洪莉[1] 龚金龙[1] 吴婷竹 

机构地区：[1]江苏省扬州市江都人民医院心内科,225200

出　　处：《临床合理用药杂志》2017年第19期8-9,共2页Chinese Journal of Clinical Rational Drug Use

摘　　要：目的分析影响心血管疾病患者他汀药物治疗依从性的因素及预防措施。方法选择120例应用他汀药物治疗的心血管疾病患者作为研究对象,以问卷调查的形式了解患者他汀药物依从性情况,从性别、年龄、经济收入、疾病知识掌握、服药种类、药物不良反应、医患关系等方面总结分析影响他汀药物依从性的原因,再根据实际情况提出相应对策。结果对120例心血管疾病患者进行随访,随访时间6个月~2年,平均(9.11±1.45)个月,应用他汀药物依从性好70例(58.33%),依从性差50例(41.67%);年龄、缺少心血管疾病相关知识、服药种类、他汀药物不良反应为影响依从性的因素;性别、经济收入差、医患关系良好不影响依从性。结论由于多种因素的存在,心血管疾病患者应用他汀类药物依从性较差,应采取针对性措施提高他汀类药物的依从性。Objective To analyse the influencing factors and prevention of statins compliance in treatment of cardiovascular disease. Methods 120 patients with cardiovascular disease treated with statins were selected as the study subjects,investigated the compliance of patients with statins in the form of questionnaires. The reasons for the dependence of statins on drug dependence were analyzed from the aspects of gender,age,economic income,knowledge of disease,medication type,adverse drug reaction,doctor-patient relationship,and then according to the actual situation put forward the corresponding countermeasures. Results Follow-up six months to two years,average（ 9. 11 ± 1. 45） months,compliance good 70 cases（ 58. 33%）,poor 50 cases（ 41. 67%）; Age,lack of cardiovascular disease-related knowledge,medication type,statin adverse reactions to the factors that affect the compliance; gender,poor economic income,good relationship between doctors and patients does not affect compliance. Conclusion Because of the existence of various factors,the compliance of statins in patients with cardiovascular disease is poor,and the corresponding measures should be taken to improve the compliance of statins.

关 键 词：心血管疾病 他汀药物 依从性 

分 类 号：R54[医药卫生—心血管疾病]